it would be an encounter and reported as such. Balanced Budge Act 1997 -----Original Message----- From: Askew, Lindsay W [mailto:[EMAIL PROTECTED]] Sent: Wednesday, February 13, 2002 5:50 AM To: 'McCall, Allen'; '[EMAIL PROTECTED]' Subject: RE: Claim status without a claim
If there is no plan (therefore no insurance) why would there be a claim? Shouldn't this service be billed via an invoice as a self-pay activity? -----Original Message----- From: McCall, Allen [mailto:[EMAIL PROTECTED]] Sent: Tuesday, February 12, 2002 7:01 PM To: '[EMAIL PROTECTED]' Subject: Claim status without a claim Situation: A Sate funded Mental Hospital takes one of its inpatients to be treated by a physician for the flu. The physician bills the hospital. The hospital pays the physician. NO plans/payers are involved. Issue: This does not meet the definition of a claim because a claim is defined as between a provider and a plan (see the rule section 162.1101). But what about a Claim Status and a Remittance Advice? Allen McCall Sierra Systems 711 Capitol Way SE, Suite 304 Olympia, WA 98501 Telephone: (360) 357-5668 Mobile: (425) 894-0790 Fax: (360) 754-0480 [EMAIL PROTECTED] http://www.sierrasystems.com This electronic message is intended only for the use of the addresse(s) named above and may contain legally privileged and/or confidential information. If you are not the intended recipient of this message, you are notified that any dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, please notify the sender by telephone and delete the original message. Thank you for your cooperation. ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address.
